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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200328

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Colletta FrancesGeorge Sex Female

Date of Birth November 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Peter Leo George MAIDEN NAME of Mother Beatrice M Nolan

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Halifax Present address of Father 1031 Barrington St.

Occupation of Father at Birth of child Labourer Place of birth of Father Madams Island

Race Name and present address of Physician in attendance at birth Dr. MacKasey

Signature of Applicant Beatrice M. George Address of Applicant 1031 Barrington St. Date 06 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Colletta FrancesGeorge

Born at Halifax in the County of Halifax

That Colletta FrancesGeorge Whose Birth is sought to be registered was

born at Halifax Halifax County on November 29, 1919

My knowledge of the fact and date of such Birth is based on the following Circumstances:

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